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HomeMy WebLinkAboutBLDG1305-0034-ApplicationContact Person: Denise Brown
City of Parkland
Building Permit Application
www.cityofparkland.org
Phone #: (954) 232-2290
E-mail: Permits@brownspermitting.com
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135
'Company Name Lennar Homes, LLC
'Business Address 730 NW 107th Ave
City Miami State Fl
Zip 33172
Property Owner's Name Lennar Homes, LLC
Owner's Street Address 730 NW 107th Ave
City Miami
'Job Site Address
State Fl
Iufa
Zip 33172
Phone# 305-559-1951
Phone# 305-559-1951
i l i nSk �CLot
'Master Permit Number
'Date
'Construction Value
'Engineer's Name
Engineer's License #
Phone #
Architect's Name
Architect's License #
(� Block d Phone #
3LDCC I Y, s -C6 3 y --
Walsh Engineering
PE #33915
(561) 362-0237
Work Description: Mira Lago-Single Family -New Construction Master Model#: J2 c i 3� I L 2 3 s
Model �1 1 — �� �' ��G��C �ri E �T -
Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of permit
and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be
secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Contractor
Notification E-mail: Permits@brownspermitting.com
Print Name of Qualifier/Builder:
Philip Serrate
License number:
CGC062343
Signature of Qualifier:
On this 26 day of Deceb r 20 1 , before me, the undersigned
Notary Public of the State olFlori personally appeared
Philip Serrate and whose name is subscribed to and within
the instru and he/she ac owledges that he/she executed it.
NOTARY PUBLIC, STATE OF FLORIDA
Denise Brown
PRINTED NAME OF NOTARY PUBLIC
tat Personally known to me
❑ Oath taken
NOTARY PUBLIC SEAL OF i
OFFICE:
Application Approved By:
Permit Officer
❑ Produced identification
J Oath not taken
:w..;. DENISE BROWN
r.','+' {,,"SIC" "EE0066-^0
EXPIRES \3\/ember 4, 2014
9u^'1 rr: ;; „ rr FuDb'. UnderWn:er_
Property Owner
Notification E-mail: Permits@brownspermitting.com
Print Name of Property Owner:
Philip Serrate
Owner's Address:
730 NW 107th fe, Miami FI 33172
Signature of Property
ter:
On this 26 of ecember, 20 13 before me, the undersigned
Notary Public o he St to of Florida, personally appeared
Philip nate \ and whose name is subscribed to and within the
instrum t, and he/she ackno edges that he/she executed it.
j�5-`---�)
NOTARY PUBLIC, STATE OF FLORIDA
Denise Brown
PRINTED NAME OF NOTARY PUBLIC
XI Personally known to me
Oath taken
NOTARY PUBLIC
OF OFFICE:
Produced identification
��_ � na h not ra4o
Date:
DENISE BROWN
fY
C:.:",^ivV,, 510N 0 60 006640
EXPPES Noveenber» 2014
Nctary p;t r Undenvnters
Electrical Contractor: Electric Connection
Business Address: 1100 Barnett Eirive
License #: EC0002938 / Estimated Construction Value: 5c( 75- • 0-,
Phone #: 561-586-6499 t/// Notification E-mail: + f►el@eler=triccon,,c.,L:.,, i
Qualifier Signature: //r/ Print Name: Randy Sjaardema
The foregoing instrument wAs acknowledged before me thus i_i day of f'f- U ,20 13 ,by the above named person
who is personally known to me or who produced as ide tificatianwhorlid/rlicLnat takean_oath
My Commission Expires: ;(_C - I ` ;;.ti""_Nye RACHELGLATTHORN
3*i it 1,1MY COMMISSION # EE 038068
:�'• • : ,j EXPIRES: February 20, 2015
1.te ty,•` Bonded Thru Notary Publw Uneervrtfters
Notary Public: (.�Cl.\ I; C1 -
Plumbing Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 12 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Mechanical Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
!Qualifier Signature: Print Name:
T he foregoing instrument was acknowledged before me thus day of ,20 12 ,by the above named person
who is personally known to me or who produced as identification who did/did riot take an oath
Notary Public: My Commission Expires:
Landscaping Contractor:
Business Address:
License #:
Phone #:
Qualifier Signature:
Estimated Construction Value:
Notification E-mail:
!The foregoing instrument was acknowledged before me thus day of
!who is personally known to me or who produced
!Notary Public: My Commission Expires:
Print Name:
,20 ,by the above named person
as identification who did/did not take an oath
Other Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
((Notary Public: My Commission Expires:
(Electrical Contractor:
Business Address:
'License #:
'Phone#: Notification E-mail:
'Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public: My Commission Expires:
Estimated Construction Value:
Print Name:
day of
Plumbing Contractor: Ridgeway Plumbing
Business Address: 640 Industrial Ave, Boynton Beach, FI 33426
License #: CFC019077
Phone #: 561-732-3176 J
'Qualifier Signature: ��
The foregoing instrument was acledged before me thus 6 day of February
whs rs
peonally known to me o
o iwho produced
Notary Public: My Commission Expires:
,20 12 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value: C( 2,(4 .GD
Notification E-mail: Kathy@ridgewayplumbing.com
Print Name: Gary Kozan
,20 13 ,by the above named person
Mechanical Contractor:
Business Address:
' License #:
' Phone #: Notification E-mail:
'Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public: My Commission Expires:
„asinifiwho i di n t t. ke an oath
ka.?riLEz,i ": HALL
- StaHa o' Flor.da
9 - .`y Ezoirts Jun 11, 201.1_
•! .-,'�_r -Il'i ;aSIOn S DC 981724
r oral Notary Assn
16le ,e Wee -
Estimated Construction Value:
Print Name:
day of
Landscaping Contractor:
Business Address:
License #:
'Phone #:
'Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public:
,20 12 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Notification E-mail:
(Other Contractor:
Business Address:
' License #:
' Phone #: Notification E-mail:
'Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public: My Commission Expires:
Print Name:
day of
My Commission Expires:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Print Name:
day of
,20 ,by the above named person
as identification who did/did not take an oath
Electrical: Contractor;
Business Address:
!License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus 5 day of February ,20 13 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Plumbing Contractors
Business Address:
License #: Estimated Construction Value:
!Phone #: Notification E-mail:
!Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 12 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Mechanical Contractor;A Lindstrom Air
Business Address: 3581 West McNab Road, Pompano Beach FI 33069
License #: CAC056703 / Estimated Construction Value: G3� —t ,u )
!Phone #: 954-421-4117/7 Notification E-mail: cherier@lindstromair.com
!Qualifier Signature:
fore instrum�n
who is persona
Not
Landsca ingContra or
Business Address:
License #:
Phone #: 3
nowledged before me thus
or who produced
mt N DOUG LINDSTROM Name: day oft►;7,,,,,„,17.10_16cm-trta,
ed Arson
a dati P i rF�i�iKo e oath
.cUndero+nter-
a Bonded T"r� Not2r{ , p.&
My Commission Expires:
Estimated Construction Value:
Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Other Contractor:, Y
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Electrical Contractor:
Business Address:
License #: Estimated Construction Value:
(Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 12 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Plumbing Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 12 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Mechanical Contractor:
Business Address:
ILicense #: Estimated Construction Value:
Phone #: 9 Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 12 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Landscaping Contractor:
Business Address:
License #: Estimated Construction Value:
I Phone #: Notification E-mail:
I Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Other Contractor: Universal Gas Contractors
Business Address: 9030 Bellhurst Way Suite 127, West Palm Beach, FI 33411
I License #: 0000012568
Phone #: 561-422-9986 No ification&-mail: melbutler@universalgascontractors.com
Print Name: Melbourne Butler
,20 13 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value: _ Cu
Qualifier Signature:
The foregoing instrument was acknowledged before me thus 1`-{- day of
who is personal) known to me or who produced
Notary Public: My Commission Expires:
1I
Electrical Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 12 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Plumbing Contractor: Dixie Landscape-Irriagation
Business Address: 12590 NW 111 Court,Miami FI 33178
License#: 95CLS622RCOL Estimated Construction Value: GO
Phone #: 305-884-57A Notification E-mail: jreamer@dixielandscape.com
Qualifier Signature: / ,( C Print Name: Jeff Reamer
The foregoing instrument was acknowledged before me thus 6 day of March ,20 13 ,by the above named person
who is personally kT now to me or who produced as identification who did/did not take an oath
Not ry Public:
J
Mechanical Contractor:
Business Address:
License #:
My Commission Expires:
Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public: My Commission Expires:
Print Name:
day of
Landscaping Contractor: Dixie Landscape
Business Address: 12590 NW 111 Court,Miami FI 33178
,20 12 ,by the above named person
as identification who did/did not take an oath
License #: 95CLS622RCOL Estimated Construction Value: 5b 9-C, . Cc,
Phone #: 305-884-579q Notification E-mail: jreamer@dixielandscape.com
Qualifier Signature: / I 0 ,_ Print Name: Jeff Reamer
The foregoing instrument was acknowledged before me thus 6 day of March,20 13 ,by the above named person
who is personally known to me or who produced
Notax�-Rtt lit: i n,
Other Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
My Commission Expires:
as identification who did/did not take an oath
Electrical Contractor: Vitex System -Low Voltage Alarm, TV and Phone
Business Address: 3893 Mannix Drive Suite #501, Naples FI 34114
License #: EF20000404
Phone #: 239 -455 -
'Qualifier Signature: /i v /
The foregoing instr. A -nt a's ac r.
who is personallAknown o me or w
Notary Public: (` %F3 --e_ 11
Plumbing Contractor:
Business Address:
'License #:
'Phone #:
'Qualifier Signature:
The foregoing instrument was acknowledged before
who is personally known to me or who produced
Notary Public:
Estimated Construction Value:
l 3 ((-(0 ccJ
Notification E-mail: Ed.Carbary@vitexsystems.com
Print Name: Tom
ledged before me thus 7 day of 1-1--C.)
produced Q- -fSUY\ Gti- «1 )(..,0 C Uvv\ as
6C,k/ My Commission Expires: q. 1.4 -
Estimated Construction Value:
Notification E-mail:
Mechanical Contractor:
Business Address:
License #:
Phone #:
'Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public:
me thus day of
My Commission
Expires:
Print Name:
by the'611:tO4 persc
s 'Notary � Public - State of Florida
)0(0 4fi i4fit0f42Mt
Commission # DD 965227
°.. '. Bonded Through National Notary Assn.
,20 12 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Notification E-mail:
Print Name:
Landscaping Contractor:
Business Address:
'License #:
'Phone #:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public:
day of
My Commission Expires:
,20 12 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Notification E-mail:
Print Name:
Other Contractor:
Business Address:
License #:
day of
My Commission Expires:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Phone #: Notification E-mail:
'Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public: My Commission Expires:
Print Name:
day of
,20 13 ,by the above named person
as identification who did/did not take an oath
Electrical Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
,Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 13 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Plumbing Contractor: 11
Business Address:
License #: Estimated Construction Value: 1
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 12 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath.
Notary Public: My Comm>ssion Expires:
Mechanical Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 12 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Landscaping Contractor:
Business Address:
License'!: Estimated Construction Value:
Phone 4: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before nye thus day of 20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Other Contractor: Gold Coast Hurricane Shutters. Inc. -Railings
Business Address: 5900 SW 43rd Street .- -
License #: 41 -10163 -F -X % Estimated Construction Value: '2_02`-f-.00
Phone 954-472-7766 -- of cation;a�rnait: moniquetxigchurricane.com •
,/ / /�%`. �' �-- Print Name: Michael Cooper
Qualifier Signature: i r f
f
The foregoing instru -it was acxnowlediged-b-dfore-me taus day of ,20 13 ,by the above named person
who is personally ilpwn ton who produced a- identification who did/did not take an oath
S,,YPe,:,,, Erica Guillaume
Notary Pubiic:L_ My Commission Lxpires.
'� =E4, -•I ;t Nov :4, 2015
,, ,F;,,, W',YW.AARONNOTAR'Y.com
MIRA LAGO
City of Parkland
Building Permit Application
www.citvofoarkland.org
Contact Person: Mimi Allbritton Phone1954-772-3446 X330 E-mail: mimi@latite.com
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135
Company Name Latite Roofing
Business Address 2280 West Copans Road
City State Zip
Pompano Beach FI. 33069
Property Owner's Name Lennar Homes
Owner's street Address 730 N.W. 107th Avenue
Phone*
954-772-3446
°tY Miami State FI. ZIP
Phone*
Master Permit Number
Date
Construction Value
Engineer's Name
Engineer's Ucense 1
Phone N
Architect's Name
Architect's Ucense N
Job Site Address lt;t4l Peninsula Place Lot (( Block 1 PhoneN
Work Description: New Tile Roof: Tin tag 1 #30, Install 1 layer Polystick TU Plus. Install
tile with 2 10D Ring Shank Nails.
Application is hereby made to obtain a permit to do the work and Installation as indicated I certify that no work or installation has oomrnenced prior to the Issuance of permit
and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be
secured for ELECTRICAL„ PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Contractor
Notification E-mail: mimi aAlatite.com
Print Name of Qualifier/Builder:
Connie Scott
License number.
CCC 1326;510
Signature of affrer:
On this1th day of fpr 2013i before me, the undersigned
Notary Public of the State of Florida, personally appeared
C:nnn iP S c:nttt and whose name is subscribed to and within
the instrume _ • he/she acknowledges that he/she executed it.
N • ARY PUBUC, S TE OF FLORIDA
Mimi Allbritton
PRINTED NAME OF NOTARY PUBLIC
Personalty known to me 0 Produced identification
❑ Oath taken
NOTARY PUBUC SEAL OF
OFFICE:
Application Approved By:
Permit Officer
0 Oath not taken
MM! E. ALLBRITTON
M CO',"",gSSION a EE 995363
EXJ!RF3 August le, .'O15
Bone,..; Tr -
Property Owner
Notification E-mail
Print Name of Property Owner:
Phil Serrate
Owner's Address:
730 N.E. 107t1)lAvenue, Miami, FL. 33172
Signature of Property Owp
On thIsFith i , 20 LS before me, the undersigned
Notary Public of Hie State bf Florida, personally appeared
Phil sprr ito \and whose name issubscribedtoand within the
rostrum and he/sheacknowjgdges chat he/she executed it.
NOTARY PUBUC, STATE OF FLORIDA
Denise Brown
PRINTED NAME OF NOTARY PUBLIC
)(tjt Personally known to me
O Oath taken
NOTARY PUBLI
OF OFFICE:
0 Produced Identification
O Oath not taken
Date:
BARCELONA TILE
t MIDROOFTOP smS
Florida Budding g Cods fion 2010
IffghaVebcfty Hu c:weZods uaaoa; psi+a tAppacallon Foy
Section A (General r,2
Master Permit Mo. , Process Ko. R(OG lac S 'CC3�{
Contractor's Name _LATITE ROOFING _.
Job Address I c L G I PDn Lac 0 e. LOT I (a
ear cATEGdpir'
13 Low Slops Xj Mechanically Fastened Tile
❑ Aaphaitic Shingles 0 Metal Pane files
❑ . Prescriptive SUR4A.C150
AOOFTYPE
XX New Roof 13 Reroofing
Low Slope Roof Area (SF)
N/A
0 Recovering
•
ROOF SYST I!
tiFP01
BLOCK
4676
❑ MortadAdisealve set Tile
❑ Woodshingthaims
13 Repair 0 Maintenance
- Steep Stoped Roof Ams (SF) Total (SF)
4800 • ; 4800
Section B (Roof Plan)
Sketch Roof Plan: illustrate en levels and sections, roof drains, ac ippeta, overtbw scuppers and overflow drains.
tnclade dimensions of sections and levels, clearly identify dfinensio'rs et elevated preneure zona old location of
parapets.
15.34
'1
8
EE
A
2010 FLORIDA BUILDING CODE—SMARM
Contact Person:
Denise Brown
City of Parkland
Building Permit Application
www.citvofoarkland.ore
Phone #: (954) 232-2290
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135
E-mail: Permits@brownspermitting.com
Company Name Electric Connection
Business Address 1100 Barnett Drive Suite 4
City Lake Worth State Fl Zip 33461 Phone# 561-586-9889
Property Owner's Name Lennar Homes, LLC
Owner's Street Address 730 NW 107th Ave
City Miami State Fl
Zip 33172
Phone# 305-559-1951
Master Permit Number
Date
Construction Value
Engineer's Name
Engineer's License #
Phone #
Architect's Name
Architect's License #
Job Site Address to ct 1 fenmcttil n ip I Lot ((o Block I Phone #
Work Description:
Tug Inspection
P-A-1)6I.2S-cc35L
Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of permit
and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be
secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Contractor
Notification E-mail: jamie.adkins@electricconnection.net
Print Name of Qualifier/Builder:
Randy Sjaardema
License number:
EC0002938
Signature of Qualifier:
On this 7 day of March , 20 14 before me, the undersigned
gtrax P blicq the State ol Florida, personally appeared
t ice+ U. -A-4 0.A.- - 4W1.1444ose name is subscribed to and within
the Instrur eNt, c'heOshe acknowledges that he/she executed it.
NOTARY PUBLIC, STATE OF FLORIDA
PRINTED NAME OF NOTARY PUBLIC
a Personally known to me
❑ Oath taken
NOTARY PUBLIC SEAL OF
OFFICE:
Application Approved By:
Permit Officer
❑ Produced identification
U Oath not taken
RACHEL GLATTHORN
COMMISSION # EE 036068
EXPIRES. FebriAn 20, 2015
Bonded 'i nru Notary'Public Underwriters
Property Owner
Notification E-mail: Permits@brownspermitting.com
Print Name of Property Owner:
Philip Serrate
Owner's Address:
730 NW 107th ve, Miami FI 33172
Signature of Property ner:
On this 7 40 March , 20 14 , before me, the undersigned
Notary Public of the S to of Florida, personally appeared
Philip Serrate and whose name is subscribed to and within the
instrume, a he/she acknowledges that he/she executed it.
TATE
NOTARY PUBLIC, OF FLORIDA
Denise Brown
PRINTED NAME OF NOTARY PUBLIC
SSI Personally known to me
❑ Oath taken
O.
NOTARY PUBLI
OF OFFICE:
❑ Produced identification
❑ Oath not taken
DENISE BROWN e f
MY COMMISSION e EE 066t4r
EXPIRES: November 4, 20
Bonded Thru Notary Public Underwriters is
Date:
Contact Person: Bill Leiser
Company Name
Business Address
city LWWA
City of Parkland
Building Permit Application
www.citvofoarkland.ora
Phone #: (305) 234-8377
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135
E-mail: miamicable@bellsouth.net
Miami Cable Connections, Inc.
14030 SW 140 Street
State fL Zip 331VIIPhone #
Property Owner's Name Lennar Homes
Owner's Street Address 730 NW 107th Ave
City OtO M
State Zip 33) LPhone#
3 2 ,3q11-
3 • >50i•PSi
Job Site Address f c,i q) IRn(n_5ui e( Lot Kr Block
Work Description:
Master Permit Number 5it16,--)/ 3(, —0()."3L-)
Date
w/3// (-/
Construction Value . U
Engineer's Name
Engineer's License #
Phone #
Architect's Name
Architect's License #
Phone #
Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of permit
and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be
secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Contractor
Notification E-mail: miamicable@bellsouth.net
Print Name of Qualifier/Builder:
Mark Liebold
License number:
EC13002448
SignatQualifier:
On this 3 day of , 20 I'-(, before me, the undersigned
Nolarx Public/?f)he•Stat of FI rida, personally appeared
(1 r 1( and whose name is subscribed to and within
the instrument, ansh- now t he/she executed it.
/( �]. T) CfYC71
NOTARY P ' IC ATE bF FLORIDA
1
PRINTED NAME OF NOTAR* PUBLIC U
personally known to me ❑ Produced identification
❑ Oath taken
NOTARY PUBLIC SEAL OF
OFFICE:
Application Approved By:
Permit Officer
Oath not taken
Property Owner
Notification E-mail:
Print Name of Property Owner:
Owner's Address:
Signature of Property Owner:
On this day of . 20 before me, the undersigned
Notary Public of the State of Florida, personally appeared
and whose name is subscribed to and within the
instrument, and he/she acknowledges that he/she executed it.
NOTARY PUBLIC, STATE OF FLORIDA
PRINTED NAME OF NOTARY PUBLIC
❑ Personally known to me
❑ Oath taken
NOTARY PUBLIC SEAL
OF OFFICE:
Date:
0 Produced identification
0 Oath not taken
Electrical Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Plumbing Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Mechanical Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Landscaping Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Other Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
City of Parkland
Building Permit Application
www.cityofparkland.orr
Contact Person: Denise Brown Phone it: (954) 232-2290
E-mail: Permits@brownspermitting.com
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135
Company Name Lennar Homes, LLC
Business Address 730 NW 107th Ave
City Miami State F1 Zip
33172
Property Owner's Name Lennar Homes, LLC
Owner's Street Address 730 NW 107th Ave
City Miami
State F1
Zip 33172
Phone# 305-559-1951
Phone# 305-559-1951
Job Site Address lolq 1 F' Iacc_ Lot
Work Description:
I�
Electrical Revision
Master Permit Number
Date
Construction Value
Engineer's Name
Engineer's License #
Phone #
Architect's Name
Architect's License #
Block Phone #
- V4l11-
R05-
I
1 X05-- o03y
5-22- 19
L3641, 1 he .
Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of permit
and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be
secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Contractor
Notification E-mail: Permits@brownspermitting.com
Print Name of Qualifier/Builder:
Philip Serrate
License number:
CGC062343
Signature of Qualifier:
On this 25 day of Arid , 2014 befor methe undersigned
Notary Public of the State of Florida, personally app ared
Philip Serrate and whose name is subscribed to and within
the instrument and he/she acknowledges that he/she executed it.
NOTARY PUBLIC, STATE OF FLORIDA
Denise Brown
PRINTED NAME OF NOTARY PUBLIC
SI Personally known to me Produced identification
Oath taken 7 Oath not taken
NOTARY PUBLIC SEAL OF
OFFICE:
'''' DENISEBROWra
COMMISSOIV
EXPIRES.
,, �y,Bended Thru Notary Pul:lr:
Application Approved By:
Permit Officer /
Property Owner
Notification E-mail: Permits@brownspermitting.com
Print Name of Property Owner:
Philip Serrate
Owner's Address:
730 NW 107th Ave, Mi ami FI 33172
Signature of Property Owner:
On this 25 day of April 1 ' 213 14 , before me, the undersigned
Notary Public of the State of F trida\personally appeared
Philip Serrate and whose name is subscribed to and within the
instrument, ar?dli /she acknowledges that he/she executed it.
..._.
NOTARY PUBLIC, STATE OF FLORIDA
Denise Brown
PRINTED NAME OF NOTARY PUBLIC
Personally known to me
❑ Oath taken
NOTARY PUBLIC SEAL
OF OFFICE:
❑ Produced identification
Oath not taken
PY A'- _
�ENiSEBR
WN
r COMMISSION y° E
y f Bcr ee IRE S: November 6640
�rlru Nord 2014
' Public Underwriters
Date: i ��
Electrical Contractor: Electric Connection
Business Address: 1100 Barnett Drive, Suite 4, Lake Worth FL 33461
License #: EC0002938 Estimated Construction Value:
Phone #: 561-586-6499 // Notification E-mail: jamie.adkins@electricconnection.com
Qualifier Signature: /(.(
Print Name: Randy Sjaardema
The foregoing instrument was acknowledged before me thus �. day of' iF< ,20 14 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires -:>'"r:'y9<fi;, RACHELGUU'J RN
'! :: MY COMMISSION N EE 036066
i J "'•-'.i: fid= EXPIRES: February20 2015
. '•, '; Bonded 7hru Notary Pub Underwriters
Plumbing Contractor:
Business Address:
License #:
Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
,20 12 ,by the above named person
as identification who did/did not take an oath
Mechanical Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 12 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Landscaping Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Other Contractor:
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Permit # Date
City of Parkland
Building Division
6600 University Drive
Parkland, FL 33067
Phone 954-753-5447 Fax 954-753-8838
30 -day Electrical Testing Connection Application
The property owner or General Contractor AND the Electrical Contractor of the property
identified below must complete this application.
Request is hereby made to connect electrical power for a period not to exceed 30 days, for
the purpose of equipment testing. It is acknowledged that approval of temporary power for
this site is in no way a release of this property for permanent use or occupancy. It is further
acknowledged that use of this property without proper authorization will result in an
immediate disconnection of electrical service pursuant to the Florida Building Code.
10 t� �en un5ut.It Acee-
Job Address
Lot ,(J Blk 0A Mira Lago
Legal Description (Lot / Block / Subdivision)
Eelctric Connection /'
Electrical Contractor (Company Name) G/
{/� /
Electrical Qualifier's Signature / `J
EC0002938
License number
The fo5egoing instrument was acknowledged before me this day of ; � a l -�_;,i , 206-3,
by \ i.ia CLA •--> i; (L�C��-/l (iQame of Person Acknowledging) who is personally known to me,
or who has produced (type of ID) as identification and who did / did not take an oath.
Notary Public Signature:
My Commission Expires:
Owner's Signature
`Y: RACHELGLATTHORN
MY COMMISSION # EE 036068
EXPIRES: February 20, 2015
4 Boned Thai Notary Public Underwriters
The foregoing instrument was acknowledged before me this day of , 20013,
by Phil Serrate
or who has produced
Notary Public Signature:
(Name of Person Acknowledging) who is personally known to me,
(type of ID) as identification and who did / did not take an oath.
S..- did,
_v:A4'TFrs3M._Y94tsgrf-Sv
OSE RO `JN , ¢
►l 1J�-' IPII. 1+.,_..`•i. ..SIGN'»E�-i`i r.'( j
— - ..)" ES ~,J,'1- i :014 j;'
My Commission Expires: Nov . 4 , 2 014
Approved by Chief Electrical Inspector: Date: //
Rev 12/08
Lennar Homes
Miralago
To parkland building department
Lennar homes has chosen not to connect gas meters in the model center
At this time. We will connect when the homes are converted to homeowners
Lot 16/1
Address 10191 Peninsula Place
Permit BLDG1305-0034
Ole �J11� Irl
PERMIT NUMBER
PERMIT NO
SUB -PERMIT
SUB -PERMIT
SUB -PERMIT
BLDG1305-0034 }
PERMIT TREE
��� TYPE
..;.STATUS
FEES CHARGED
OBVALU ..
SFR
ISSUED
$13,641.16
$467,440.00
BLDG1305-0034
DESCRIPTION
APPLIED . ISSUEI
FEES IiAII? \....._.v..� NCE DU
TOTAL of ALL FEES
16/1 MIRA LAGO
05/10/2013 07/18/2013
$13,337.16 $304.00
LENNAR HOMES LLC.
VALUE.
Drintorl• Thnrcrinv 7') KAnv
1 of 1
PERMIT TREE
PERMIT NO
SUB -PERMIT
SUB -PERMIT
SUB -PERMIT
BLDG1305-0034
DESCRIPTION
APPLIED ISSUED
SFR
ISSUED
$13,337.16
$467,440.00
TOTAL of ALL FEES
16/1 MIRA LAGO
05/10/2013
$13,128.16
07/18/2013
$209.00
LENNAR HOMES LLC.
PERMITS ' FEES CHARGED
FEES PAID A NCE DUE JOBVALUE
1
$13,337.16
$13,128.16
Drintcrl• Frir1=‘, 1/1 NA.rrh 0111/1 1 of 1
$20940"
$467,440.00
PERMIT NO
SUB -PERMIT
SUB -PERMIT
SUB -PERMIT
BLDG 1305-0034
Lyvvia.
BLDG 1305-0034
PERMIT TREE
SFR
ISSUED
$14,034.08
$467,440.00
TOTAL of ALL FEES
16/1 MIRA LAGO
05/10/2013
$13,641.16
07/18/2013
$392.92
LENNAR HOMES LLC.
2/2/44ut:
Printarl- Frirlau (1F, limp ?(11d
1 of 1
9"0711,4!
LENNAk. h e.LS
(applicant)
730 tti107 AVI:,i€1E
(billing address)
MIAMI, FLVKUiDA 33/72
(city, state, zip)
NORTH SPRINGS IMPROVEMENT DISTRICT
10300 N.W. llth Manor
Coral Springs, Florida 33071
(954) 753-0729
RECEIPT FOR UTILITY SERVICE REQUEST
'ELADG 30c- 003
INVOICE: s►
0CTtl,H4„c: 25, z013
(date)
564--.0557-01
(account number)
APPLICANT IS FAMILIAR WITH THE TERMS AND CONDITIONS CONTAINED IN THE APPLICATION FOR WATER
SERVICE AND ACKNOWLEDGES AND AGREES TO ABIDE BY THE TERMS AND CONDITIONS CONTAINED THEREIN.
METER USE FEE 1" 1 ETk:t
SYSTIEUXXOINECOMME WASTEWATER/ Rh USE CONNECT i0h i'Ef.
WATER USE DEPOSIT TO BE C.;AKGLD 0N F1 KST ILL
CSX ATER. CONN ECTLOcN 'at;
(meter number)
(installation date)
G / 91 (by)
PEP,i't.ACE
(service address)
LCa1: 16/niLOCK 01/ ACO
$ 600.00
11391.00
556.00
PAY THIS AMOUNT $ 1.::549.00
CHECK# $
CASH $ BY
(legal descrp.) APPLICANTS SIGNATURE DATE
COPIES: White/Builders Copy - Pink/Building Permit Copy - Yellow/Office Copy - Green/Connect Order, W/S - Gold/Connect Order, Office
BR WARD
FLORIDA
Environmental Protection and Growth Management Department
PLANNING AND REDEVELOPMENT DIVISION
1 North University Drive, Building A, Suite 102 Plantation, Florida 33324 954-357-6666 FAX 954-357-6521
Broward County Transportation Concurrency Satisfaction Certificate
Please note that this approval does not constitute Environment.; Review Arlpreval. You will stili need
the Environmental Approval Certificate to submit to the Building Depdrti:cert.
Issue Date: 11/19/2013 DR Review #: 0021467
Application Number: 000370474
Title of Drawings: Mira Lago Lot 16 Block 1 Project#:
Plan Last Revision Date: Bldg Dept Jurisdiction: Parkland
Legal Description: Plat Name: Debuys Plat
Plat Number: 002 -MP -12 Book: 180 Page: 147 Lot: 16 Block: 1
Address: 10191 Peninsula Place, Parkland, FI. 33067
Construction Type: New Construction
This approval is issued in accordance with Sec. 27.66 of the Broward County Natural Resource Protection Code. This
approval is specific for the plans and description described on this approval. Any changes in footprint, Lot #, or
bedrooms or use will require a new approval.
Development Review
&`f BUILDING OFFICIAL: Broward County Planning & Environmental Regulation Division impact and/or transportation
concurrency fees have been satisfied/paid for New 3 BR Single Family Detached
Lot 16 Blk 1
Receipt# 0021467
[iv TRANSPORTATION CONCURRENCY SATISFACTION: Certificate is hereby issued
*Any revision to these plans requires a new development review by the division.
If a building permit is not applied for within 30 days of the Environmental Review Approval, plans must be re -submitted to the
Planning and Environmental Regulation Division for re-evaluation.
Development Reviewer Name: Sue Henderson
BR WARD
F L OR IDA
Environmental Protection and Growth Management Department
PLANNING AND REDEVELOPMENT DIVISION
1 North University Drive, Building A, Suite 102 Plantation, Florida 33324 954-357-6666 FAX 954-357-6521
Broward County Environmental Review Approval Cer h?cate
Issue Date: 5/3/2013 ER Review #: 000370474
Title of Drawings: Mira Lago Lot 16 Block 1 Project#: N/A
Plan Last Revision Date: N/A Bldg Dept Jurisdiction: Parkland
Legal Description: Plat Name: Debuys Plat Lot: 16 Block: 1
Address: 10191 Peninsula Place, Parkland, FI. 33067
Construction Type: New Construction
This approval is issued in accordance with Sec. 27.66 of the Broward County Natural Resource Protection Code. This approval is specific
for the plans and description described on this approval, any changes in footprint, Lot #, or bedrooms or use will require a new approval.
APPROVAL IS CONDITIONAL for: Approved with Wastewater Condition 300 GPD
For Sewer Connection to: BCUD 4
REASON FOR CONDITIONAL APPROVAL:
Sanitary sewers serving this project are not yet approved by the Planning and Environmental Regulation Division.
In accordance with the Broward County Natural Resource protection code: No certificate of occupancy, No temporary Certificate of
Occupancy, No certificate of Completion, or final Inspection shall be issued until the above conditions are satisfied and written
authorization has been given to the building official by the Broward County Planning and Environmental Regulation Division.
[?' WARNING NOTIFICATION TO THE PLANNING AND ENVIRONMENTAL REGULATION DIVISION IS REQUIRED WITHIN TEN (10)
WORKING DAYS AFTER ISSUANCE OF A BUILDING PERMIT, A CERTIFICATE OF OCCUPANCY, A TEMPORARY
CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLETION, FINAL INSPECTION OR ANY OTHER ACTION THAT
ALLOWS OCCUPANCY OF THE BUILDING OR FACILITY. THE BUILDING DEPARTMENT IS REQUIRED TO
ELECTRONICALLY UPDATE BUILDING PERMIT AND CO DATA ONLINE AT
HTTPS://DMDWEB. BROWARD.O RG/DMDWEB/LOGI N.ASPX
C2- COMMENTS PREVIOUSLY APPROVED MASTER MODEL 4676
WW -61751
If a building permit is not applied for within 30 days of the Environmental Review Approval, plans must be re -submitted to the
Planning and Environmental Regulation Division for re-evaluation.
Environmental Reviewer Name: Becky Dosh
INSTR # 111964679, OR BK 50378 PG 1048, Page 1 of 1, Recorded 12/04/2013 at
11:51 AM, Broward County Commission, Deputy Clerk 3330
Lt
Permit # BLDG1305-0034 Folio #
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
Is provided in this Notice of Commencement
1. Legal Desaipbon of Property:
Street Address d available:
2. General Description of Improvement:
3.a. Owner name and address:
b. Interest in property
c. Name/mailing address of fee simple
title holder (if other than Owner)'
4 a. Contractor name and address:
b. Contractor's phone number
5. a. Surety name and address:
b Surety's phone number
c. Amount of bond:
S
urs space reserved for reamer
Lot 16 Block 1 Unit i Bldg • 0 Lengthy legal attached
Subdivision/Condominium: Debuys Plat (Mira Lago)
10191 Peninsula Place, Parkland FI 33067
New Construction -Single Family Home
Lennar Homes, LLC 730 NW 107th Ave, Miami FI 33172
Lennar Homes, LLC 730 NW 107th Ave, Miami FI 33172
305-559-1951
6. a. Lender name and address:
b. Lender's phone number:
7. a. Persons within the State of Florida designated by Owner upon whom Notices or other documents may be served as provided
by Section 713 13(1)(A)7., Florida Statutes.
Name. Greg McPherson -Southeast Florida Division Controller
730 NW 107th Ave, Miami FI 33172
305-559-1951
Address:
b. Phone Number.
8. a. In addition to himself or herself. the Owner designates
to receive a copy of the Lienors Notice per section 713 13(1)(B), Florida Statutes'
b. Phone number of person or entity designated by owner
9. Expiration date of notice of commencement:
(ue erpeaem date is 1 yew. from dale or retordq unless a Memo date u speared)
WARNING OT OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13,;
FLORIDA STATUTES, AND CAN RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE:
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION IF YOU;
INTEND TO OBTAIN FIN LING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR'
RECORDING YOUR NO ICE OF COMMENCEMENT. I
Signature(s) of Owner(s) or r(s)' Authorized Officer/Director/Partner/ Manager
Print Form I
By
Print Name Phil Serr
TitlerOfhce Vice Pre An
STATE OF FLORIDA
COUNTY OF BROWARD
The forgoing instrument was acknowledged before me this 3 day of Dec. , 2013
by Phil Serrate
0 Individually, or 0 as
LK personally known or 0 produced the following type of identification
Signature of Notary Public ()OIlk/at I
Printed name. Denise Brown
(SEAL)
By
Pnnt Name
Title/Office
for
VERIFICATION PURSUANT TO SECTION 82.825. FLORIDA STATUTES
Under penalties of pegury, l declare that 1 have read the foregone and that
the fads stated in d are tnoe. to the gest of my knovaedge and belief
4:r i
DENISE BROWN
COMISSONI..NV
EXPIRES November 4.2014
~M ti Bonded 1Nu Notary Puha Underreders
Signature(s) of Clwner(s) or Ow r(s)' Authorized Officer/Director/Partner/ Manager who signed aoove:
By
By
g vecadnaarmena. ;Iota or mmnanraino l revs. 7 3 07 Uoc
're certi!•\' J -
�pM4jsS' c'orre .,
CREATE[) R?.ff' -date this
c •� CY_T let v
1;1; t'
is O*
;r f
:r
tv A rilimstrator
-'eL:ut'/ Clerk
Permit # 130 5- 063L1 Lot 16 Block 1 Sub L so Date 5 /22, 20 ±
Change -of -Plan Cover Sheet
Note: In order for the Building Division to process plan changes promptly, the individual who
submits the changes should make a sincere effort to provide the following information accurately.
1. I have reviewed the Permit Application form, and copied the Work Description line here,
as the complete Change -of -Plan Description:
Ft') EIec.'nc As-
2. I have verified that changes to plans have been clouded & dated by the A/E of Record.
3. I have verified that this change -of -plan affects the following approved inspections, which
will need to be re -called:
1 t c-cj r'1
4. I am aware that if this submittal is not complete, the Building Division may return it
without review, and takes no responsibility for associated delays.
ACK OWLEDGED that I have read the above statements:
Name: j oTi•No.(a-s Contact Phone Number: q S 1- S93- i (,G
Review
0
0
0
0
0
Rev. 2-10
required by:
Structural
O Plan Sheet #s:
❑ Permit Application
Electric
1' Plan Sheet #s: A
Permit Application
Plumbing / Gas
❑ Plan Sheet #s:
❑ Permit Application
Mechanical
O Plan Sheet #s:
O Permit Application
Zoning
O Plan Sheet #s:
O Permit Application
Engineering
O Plan Sheet #s:
❑ Permit Application
Landscaping
O Plan Sheet #s:
❑ Permit Application
Signed by Qualifier
9.0,/0\-I
Signed by Qualifier
& Property Owner
& Property Owner
Signed by Qualifier & Property Owner
Signed by Qualifier & Property Owner
Signed by Qualifier & Property Owner
Signed by Qualifier & Property Owner
Signed by Qualifier & Property Owner
City of Parkland
Plan Loci Out
This form must be completed before plans can be lopped out
() Zoning Structural ( ) Electrical () Plumbing () Mechanical () Fire ( ) Engineering
Notified Date(s): ''12-C,9 1 ! -2_1
Permit #: (3c 003< -4 -
Contractor / Owner Name:
Site Address:
Owner Name:
Date Logged Out:
By:
Print name ONLY Please!
Company / Title:
10/05
Permit Type:
(4( 2-.-1 ( 3
BALCONY RAILING AND DECO FEATURES
Provide signed and sealed engineering designed in accordance with FBC 1615.2.1,
ASCE- 7 and FBC R4403.2. including all detailed connections at sides and bases,
also show maximum post spacing with minimum embedment required.
Site specific Engineering required to be submitted for Decorative railing also.
Wyatt T. Haygood
Second review 6-14-13
corrections not made from previous review .
Engineering submitted is for Balcony Railing. Engineering for
Decorative Railing required to be submitted. See Elevations
for decorative railing.
N.0 ca.JSl 1�- ( -her
BALCONY RAILING
AND DECO
FEATURES
CITY OF PARKLAND
BUILDING DEPARTMENT
6600 University Drive
Parkland, Florida 33067
Office: (954) 753-5447 • Fax: (954) 753-8838
www.cityofparkland.org
Inspection List Customization
The inspection list provided to you is a standard template that includes most
of the standard inspections available for your project. Please review the list
and identify any inspections that may not be required for your project or
required inspections that may have been omitted. Inspection priorities that
do not correspond to your method of construction may be adjusted after
approval by the Chief of the appropriate discipline. It is the responsibility of
the qualifier to obtain all code required inspections prior to covering work or
proceeding to the next stage of construction. Additions, deletions, or changes
to the list more than three days after the issuance of the pennit may result in
additional administrative charges.
As the qualifier/agent I have reviewed the inspection list and have
determined that it meets the needs of this project.
Signature
Perrnit # AZkq %gC)(-e-7G3 (
Date 7/9 )/
CITY OF PARKLAND INSPECTIONS REQUEST
OMMUNITY: /%,r ✓ri L��tG PERMIT #:C (43 /3& 0037
JT/BLOCK: A/1 CONTACT PERSON: ,e401,C1 VC1 PHONE #: 7(si 3? ' ' 777
\ISPECTIONS TO REMOVE
:ODE
244
245
246
254
255
256
172
457
458
181
174
997
INSPECTION
Intercom Rough
Speaker Rough
Vacuum Rough
intercom Final
Speaker Final
Vacuum Final
Hurricane Panels (if impact glass)
Well Collar
Final well
Side Walk Inspection (when no sidewalk)
Patio Slab (Remove when pool is added).
Administrative Pool (remove when no pool)
INSPECTIONS TO ADD
:ODE INSPECTION
126 2 Story Tie Beam
195 Screen Enclosure (for screen lanais)
110 Footer (if screen)
708 Balcony rail/grille
127 Rake Beam
10'
add
I
rev. 4/07
PermitTRAK
Site
Permit # BLDG1305-0034
No Parent Activities
No Permits
No Cases
No Issues
SIDG1305 0Q34
> BLDG1305-0034
16/1 MIRA LAGO
APPLIED
SFR
NONE
Ad <1 810589
• TMP11
10190 PENINSULA PLACE
Parkland
33076
Add Inspections Calendar Set Sequence
• 30 DAY FOR TESTIN... ELECTRICAL
,"•[ 06/10/2013
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Page 3 of 3
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13u)C713GS- C)U34
CITY OF PARKLAND
Planning and Zoning Department
6600 University Drive, Parkland, FL 33067 (954) 753-5040 Fax (954) 341-5161
ANTI -MONOTONY APPLICATION
!,i�T.R.... :Tto\4,s. .. .4
1. Please complete all information on the application and provide attachments.
2. Please provide a location map showing subject property, adjacent lots and surrounding lots. The
location map must show at least two (2) lots on either side of subject property and five (5) lots directly
across from subject property.
3. Please provide a list of ALL adjacent properties and surrounding properties building elevation, body
paint color, trim paint color, roof color, and roof style. Map required must show listed information.
(Photographs of surrounding homes accompanied by home aesthetics may be substituted for required
list). Identify vacant lots, if applicable.
Applicant (if other than owner):
Address: 730 NW 107th Ave
Phone: 954-232-2290
I. APPLICANT INFORMATION
Lennar Homes, LLC
City: Miami
E -Mail Address:
ST: Fl Zip: 33172
Permits@brownspermitting.com
II. PROPERTY LOCATION & INFORMATION
A. Folio Number: [ ][ ]--[ If ]--[ ][ ]--[ ][ ]-[ ][ ]-[ ][ ][ ]-[ ][ ][ ][ ]
B. Community: Mira Lago
C. Subdivision: Mira Lago
D. Property Address: 10191 Peninsula Place
E. Property Lot/Block: Lot 16 Block 1
F. Model/Elevation: 4676-D/R w/ Balcony Opt
G. House Color/Trim: SW7038 Tony Taupe
02/05/2009
H. Roof Color/Style:
Stone Mountain Blend
SW7012 Creamy Saxony 900 Slate
Page 1 of 1
Wyatt T. Haygood
Provide signed and sealed engineering designed in accordance with FBC 1615.2.1,
ASCE- 7 and FBC R4403.2. including all detailed connections at sides and bases, also
show maximum post spacing with minimum embedment required.
Site specific Engineering required to be submitted for Decorative railing also.
Wyatt T. Haygood
Second review 6-14-13
corrections not made from previous review .
Engineering submitted is for Balcony Railing. Engineering for Decorative Railing
required to be submitted. See Elevations for decorative railing.
BALCONY RAILING
AND DECO
FEATURES
BALCONY RAILING AND
DECO FEATURES
Wyatt T. Haygood
Provide signed and sealed engineering designed in accordance with
FBC 1615.2.1, ASCE- 7 and FBC R4403.2. including all detailed
connections at sides and bases, also show maximum post spacing
with minimum embedment required.
Site specific Engineering required to be submitted for Decorative
railing also.
BALCONY
RAILING AND
DECO FEATURES
ti
Wyatt T. Haygood
1. Uniform Roofing Permit application is required to be submitted
for site specific roof information...,
Please note that Master Model roofing permit # 2013010235 has
been denied for the following items.
1) provide all roof slopes for building on section D of uniform
permit application.
2) incorrect required design pressures chosen on section E, must
use the higher of the two roof slopes.
NEW ROOF
SPECIFICATIONS
,.7
13os-- 0034
5/21/2013 11:09:25 AM (Jean Panebianco)
PROVIDE GRADING INFORMATION AT REAR CORNER OF LOT TO SHOW GRADE TRANSITIONS TO REAR
OF PROPERTY
(U1l�M l,E C,
L •GrCCALu}\
EURE umW OWE
-Z
Wentworth
MiraLaSo -Estate Collection
2 -Story 16 Bedrooms 16.5 Baths I Study Game Room I Family Room 3 -Car Garage
Game Room
20'0' a 13'0'
aa" cabng
Preliminary Artist's Concept
LENNAR.COM
4,676 Sq. Ft. A/C
708 Sq. Ft. Garage
55 Sq. Ft. Covered Entry
196 Sq. Ft. Covered Terrace
5,635 Sq. Ft. Total
Temporary Welcome Home Center Parkland Commons Publix Shopping Center:
7965 North University Drive, Parkland, FL 33067 954-369-0078
Plans and elevations are artist's renderings and may contain options, which are not standard on all models. Lennar reserves the right to make changes to these floor plans,
specifications, dimensions and elevations without prior notice. Stated dimensions and square footage are approximate and should not be used as representation of the home's
precise or actual size. Any statement, verbal or written, regarding "under air" or "finished area" or any other description or modifier of the square footage size of any home is a
shorthand description of the manner in which the square footage was estimated and should not be construed to indicate certainty. Copyright © 2012 Lennar Corporation. Lennar
and the Lennar logo are registered service marks of Lennar Corporation and/or its subsidiaries. CGC#62343 10/12
EOUAL HOUSING
OPPORTUNITY
CITY OF PARKLAND BUILDING DEPARTMENT 954-753-5447
Date Received: 6/6/14 I Permit Number: BLDG1305-0034
Lot: 16 Block: 1 Subdivision: DEBUYS
Job Address: 10191 Peninsula Place
Work Description: 16/1 MIRA LAGO 5�-&7-1-
Contractor: LENNAR HOMES Phone: 3055591951
LLC.
DEPARTMENT Date Denied Date Approved I Initials
ZONING
LANDSCAPING
ENGINEERING
FIRE
STRUCTURAL
ELECTRICAL
PLUMBING
MECHANICAL
Wen -worth
MiraLago -Estate Collection
2 -Story 16 Bedrooms
i
Mosler Suite
4'0'+1910'
6.5 Baths I Study I Game Room I Family Room 13 -Car Garage
Breakfon Area ■■f •---- lo/w
l o'ax„°.90 ■■1 ii.
■■ Kitchen ■
■■■■■■ 10060 x 15'4' ■
I. •i.luu„a■■■■. ■
EI
E■IIENII . moan INNgo
■t■■■■a■ Want I■■.
EINIENENENN '11E1k I■.
Study-
Garage12'0'+ 19'0'
'a1
INIZENO=il■■■■a MI
■RE■■.■a■■■■■ a1
NomMINNII '■II■UAU■INIuI
TEINNEMWEIMI . ® !!11111 1 !
■a■WE■■■i ::r ::--- —r.■■�■■■u °I;...e�j iii OEM.
=■■� ■■aa■■■� . q;�u.. minnoorm
2 -Cor Garage
19'0'x20'7
First Floor
Preliminary Artist's Concept
Gome Room
20'0' x 13.0'
9V' Cet,ny
LENNAR.COM
4,676 Sq. Ft. A/C
708 Sq. Ft. Garage
55 Sq. Ft. Covered Entry
196 Sq. Ft. Covered Terrace
5,635 Sq. Ft. Total
Temporary Welcome Home Center ' Parkland Commons Publix Shopping Center:
7965 North University Drive, Parkland, FL 33067 954-369-0078
Plans and elevations are artist's renderings and may contain options, which are not standard on all models. Lennar reserves the right to make changes to these floor plans,
specifications, dimensions and elevations without prior notice. Stated dimensions and square footage are approximate and should not be used as representation of the home's
precise or actual size. Any statement, verbol or written, regarding "under air” or "finished area" or any other description or modifier of the square footage size of any home is a
shorthand description of the manner in which the square footage was estimated and should not be construed to indicate certainty. Copyright © 2012 Lennar Corporation. Lennar
and the Lennar logo are registered service marks of Lennar Corporation and/or its subsidiaries. CGC#62343 10/12
"77-
00090 NOISING
OPPORTUNITY
CITY OF PARKLAND BUILDING DEPARTMENT 954-753-5447
Date Received: 6/6/14 Permit Number: BLDG1305-0034
Lot: 16 j Block: 1 Subdivision: DEBUYS
Job Address: 10191 Peninsula Place i
Work Description: 16/1 MIRA LAGO
Contractor: LENNAR HOMES Phone: 3055591951
LLC.
DEPARTMENT Date Denied Date Approved Initials
ZONING
LANDSCAPING
ENGINEERING
FIRE
STRUCTURAL
ELECTRICAL J
PLUMBING
MECHANICAL